Methylenetetrahydrofolate Reductase C677T Polymorphism and Susceptibility to Cervical Cancer and Cervical Intraepithelial Neoplasia A Meta-Analysis 英文参考文献.docVIP
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Methylenetetrahydrofolate Reductase C677T Polymorphism and Susceptibility to Cervical Cancer and Cervical Intraepithelial Neoplasia A Meta-Analysis 英文参考文献
MethylenetetrahydrofolateReductaseC677T
PolymorphismandSusceptibilitytoCervicalCancerand
CervicalIntraepithelialNeoplasia:AMeta-Analysis
YaLiLuo.,PingYe.,QiongHuaZhang,TingTingHu,MinHongLuo,MeiQingLi,QingChen*
DepartmentofEpidemiology,SchoolofPublicHealthandTropicalMedicine,SouthernMedicalUniversity,Guangzhou,China
Abstract
Background:Anumberofstudieshaveexploredtheassociationbetweenmethylenetetrahydrofolatereductase(MTHFR)
C677T polymorphism and susceptibility to cervical cancer and cervical intraepithelial neoplasia (CIN). However, results
remainedcontroversial.Toaddressthisgap,wedecidedtoconductameta-analysisofallavailablepublishedstudies.
Methods: Electronic literature searches of the PubMed, EmBase and Medline databases were performed up to April 30,
2012.Fixed-effectsorrandom-effectsmodelwasusedtocalculatethepooledORsfordifferentgeneticmodels.
Results:Atotalof12case-controlstudieswereultimatelyidentified.NostatisticalcorrelationwasfoundbetweenC677T
variants and cervical cancer for the overall population. However, subgroup analyses on the White women pointed to a
significantprotectiveeffectforindividualsheterozygousorhomozygousfortheT-allele(forCTvs.CC:OR=0.72,95%CI
0.59–0.88;forTTvs.CC:OR=0.69,95%CI=0.49–0.97;forCT+TTvs.CC:OR=0.71,95%CI0.59–0.86).C677Tvariantswere
associatedwithneithercombinednorstratifiedCINamongtheoverallpopulation.
Conclusions: This meta-analysis suggests that White women with mutant C677T genotypes might have a lower risk of
cervicalcancer,yetlackingenoughstatisticalrobustness.Furtherinvestigationsareneededtogetmoreinsightintotherole
ofthispolymorphismincervicalcarcinogenesis.
Citation:LuoYL,YeP,ZhangQH,HuTT,LuoMH,etal.(2012)MethylenetetrahydrofolateReductaseC677TPolymorphismandSusceptibilitytoCervicalCancer
andCervicalIntraepithelialNeoplasia:AMeta-Analysis.PLoSONE7(9):e46272.doi:10.1371/journal.pone.0046272
Editor:Xiao-PingMiao,MOEKeyLaboratoryofEnvironmentandHealth,SchoolofPublicHealth,TongjiMedicalCollege,HuazhongUniversityofSciencea
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